| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,683 |
6,588 |
$287K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,309 |
3,165 |
$106K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,054 |
982 |
$55K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,050 |
1,957 |
$52K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,185 |
2,031 |
$49K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,520 |
1,450 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,172 |
1,086 |
$39K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
307 |
299 |
$27K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,422 |
2,885 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,427 |
4,998 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,558 |
1,416 |
$18K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
784 |
757 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
805 |
761 |
$13K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
127 |
126 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
922 |
864 |
$6K |
| K0001 |
Standard wheelchair |
211 |
196 |
$2K |
| E0570 |
Nebulizer, with compressor |
30 |
24 |
$396.95 |
| A7037 |
Tubing used with positive airway pressure device |
29 |
26 |
$265.23 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
15 |
14 |
$64.70 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
25 |
24 |
$0.00 |